Introduction and Informed Consent

You are invited to participate in a web-based online survey on touch screen usage and the social emotional development of children between the ages of 48 and 72 months (4-6 years old). This is a research project being conducted by Amanda Sharpe, a student at the University of the Pacific.  It should take approximately 30 minutes to complete.



Your participation in this survey is voluntary. You may refuse to take part in the research or exit the survey at any time without penalty. You are free to decline to answer any particular question you do not wish to answer for any reason.


You will receive no direct benefits from participating in this research study. However, your responses may help us learn more about the relationship between the use of touch screen technology and the social emotional development of children before they begin first grade.


There is the risk that you may find some of the questions to be sensitive. There is also the potential that the viewing of screen time usage could produce feelings of guilt or shame and that reflections about your child’s behavior may produce anxiety or frustration.

Your survey answers will be sent to a link at where data will be stored in a password protected electronic format. Survey Monkey does not collect identifying information such as your name, email address, or IP address. Therefore, your responses will remain anonymous. No one will be able to identify you or your answers, and no one will know whether or not you participated in the study.


At the end of the survey you will be asked if you are interested in participating in raffle for the prize of a $100 Amazon gift card. If you choose to participate and provide your email address, your survey responses may no longer be anonymous to the researcher. However, no names will be collected and no identifying information would be included in any publications or presentations based on these data, and your responses to this survey will remain confidential.

If you have questions at any time about the study or the procedures, you may contact me Amanda Sharpe (209) 607 – 1724, and/or my research supervisor, Professor Amy Scott Brown via phone at (209) 946-3276 or via email at

Question Title

* 1. ELECTRONIC CONSENT: Please select your choice below. You may print a copy of this consent form for your records. Clicking on the “Agree” button indicates that


·      You have read the above information

·      You voluntarily agree to participate

·      You are 18 years of age or older